The Value of Preoperative Screening Investigations in Otherwise Healthy Individuals

Jeffrey M. Turnbull, MD, FRCP (C); Carol Buck, MD, PhD, DPH
Arch Intern Med. 1987;147(6):1101-1105. doi:10.1001/archinte.1987.00370060097017.
Text Size: A A A
Published online

• To assess the value of routine screening preoperative investigations in an otherwise healthy surgical population, the charts of 2570 patients undergoing cholecystectomy in two university teaching hospitals were reviewed. Of these, 1010 patients who were believed to be free of active disease other than cholelithiasis were selected for further study. Preoperative screening investigations were assessed in terms of frequency of use and abnormalities detected. The predictive values of these tests were analyzed and compared with information obtained from the history and physical examination. The frequency with which action was taken because of abnormal test results was also determined. Of the 5003 preoperative screening tests performed, abnormal results were obtained in 225. Of these, 104 were of potential importance. Action resulting from these abnormalities occurred in 17 cases. In only four patients could a conceivable benefit have arisen from a preoperative screening test. When compared with the results of the history and physical examination, routine preoperative investigations provided little further information that altered management in otherwise healthy surgical patients undergoing cholecystectomy.

(Arch Intern Med 1987;147:1101-1105)


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours





Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Web of Science® Times Cited: 93

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.